Abstract

Ectopic pregnancy is one of the major cause of death in the first trimester of pregnancy. Complications may result from misdiagnosis, diagnosis delay, or mistreatment. COVID-19 is currently became pandemic. There is still no specific recommendations for manage pregnant women with COVID – 19. Mrs. EF, 34 y.o., G2P1011 admitted to Wahidin Sudirohusodo Hospital Makassar referred from Hermina Hospital dianosed with missed abortion and suspected of COVID-19 infection. She was first refused to undergo COVID – 19 screening and diagnostic test, though finally agree to proceed with examination. She was definitively diagnosed with ectopic pregnancy following 4 days of undetermined COVID – 19 status. Emergency explorative laparotomy was then performed. This is a maternal near miss case. Delay in performing COVID – 19 examination may compromise management of true emergency obstetrics situation. COVID-19 phobia is one factor that describe excessive fear and anxiety about the transmission of corona virus among health workers. Health workers may be reluctant in treating patient because of undetermined status of COVID-19 causing diagnosis delay.

Highlights

  • Ectopic pregnancy poses threat to women at reproductive age

  • Ectopic pregnancy occurs in 1% of all pregnancies and 90% cases occured in the ampula of fallopian tube

  • Complications of ectopic pregnancy may result from misdiagnosis, diagnosis delay, or mistreatment

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Summary

Introduction

Ectopic pregnancy poses threat to women at reproductive age It is the leading cause of death in the first trimester of pregnancy in the United States, accounting for 9% of all deaths in pregnancy. Case reports from previous studies with SARS and MERS did not show any association between infection and risk of miscarriage or second trimester fetal death.[4,5]. Many health workers have been reported to be infected with COVID-19 This circumstance lead to health workers fear of being infected with COVID 19 especially in treating cases of pregnancy with COVID – 19. This may lead to delay in pregnancy management resulted in increased maternal and neonatal morbidity and mortality.[6]

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